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Individual
DR. SURYA MANIVANNAN
Active
Individual
DR. SURYA MANIVANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
2022-01910
NC
390200000X
Student in an Organized Health Care Education/Training Program
227552
NC
Other
Enumeration date
04/28/2017
Last updated
10/20/2022
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